Organization
BUCKEYE FAMILY DENTAL PRESENTED BY DR YAZAN ALMADANI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YAZAN B AL-MADANI DDS (GENERAL DENTIST)
(440) 454-4878
Entity
Organization
Contact information
Practice address
4163 PEARL RD, CLEVELAND, OH 44109-3332
(216) 862-4990
(216) 862-3585
Mailing address
4163 PEARL RD, CLEVELAND, OH 44109-3332
(216) 862-4990
(216) 862-3585
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2853630
—
OH
Enumeration date
12/30/2013
Last updated
12/30/2013
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